Looking for a delicious braces-friendly fall dessert? We’ve got a great recipe!

You have braces, and you’re probably wondering what to eat. You can’t have gum, popcorn or other delicious but braces-unfriendly foods. But fear not! Our friends at the American Association of Orthodontists have a delicious recipe that will satisfy both your sugar craving and hunger when the weather gets cold.

Apple Bombolini
Ingredients:

Rustic dough
• 9 ounces cake flour (about 3 cups)
• ½ cup all purpose flour
• ½ cup granulated sugar
• Pinch sea salt
• 1 cup (2 sticks) unsalted butter, chilled and cut into large pieces
• 1 tablespoon vanilla
• 2 tablespoon cold water

Apple sauce filling
• 4 Granny Smith apples
• 1 cup (2 sticks) unsalted butter
• 1 tablespoon lemon juice
• 1 vanilla bean, or 1 teaspoon vanilla extract
• 1/3 cup granulated sugar
• 1 tablespoon water

Diced apples:
• 4 Granny Smith apples
• ¼ cup sugar
• ½ teaspoon vanilla
• ½ lemon, juiced

Directions:

For the dough: In a mixing bowl with a paddle attachment, add the dry ingredients and mix for 5 seconds to blend. Add the butter and vanilla and mix until the butter is about the size of peas. Add the cold water and blend until the dough just comes together. Form the dough into a roughly shaped ball, wrap in plastic, and refrigerate for 1 to 2 hours.
Applesauce filling: Peel, core, and slice the apples. Put the apples with the rest of the ingredients into a saucepan. Bring to a boil, turn down the heat, and cook until the apples are very soft, about 20 minutes. Remove from the heat, cool, and refrigerate.

Diced apples: Peel, core, and cut the apples into large slices. Toss with the sugar, vanilla and lemon juice and set aside.

Assemble the bomboloni: Remove the dough from the refrigerator. Roll out to1/4-inch thick round. Cut into 6-inch rounds. Place about 1/4 cup of the Apple Sauce Filling onto the center of each round. Top with a few pieces of the Diced Apples. Pull the sides up towards the center to form a bundle, pinching the dough together towards top. Cover with plastic wrap and refrigerate for 1 hour before baking

You're Never Too Old to Treat Yourself to a New Smile!

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give our team a call, so we may set up a consultation to determine what type of treatment best meets your needs.

When Should My Child See an Orthodontist?

Orthodontic treatments vary from dental treatment, in that they primarily address malocclusions, jaw spacing and tooth alignment, rather than the actual health of the teeth. That is why it is often more difficult for parents to determine when a child needs orthodontic treatment rather than dental treatment. So how can you know it is time to take your child to the orthodontist?

• Bad Bite - As the adult teeth begin to replace primary teeth, bite occlusions can develop. These often become visible to parents between middle childhood and the pre-teen years, although an orthodontist can identify a bad bite with early evaluation.

• Visible Tooth Crowding - If your child's newly emerging teeth are already crowded, you should make an appointment with our office to discuss braces.

• Tooth Grinding (Bruxism) - Children who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. Oral appliances are available to correct nighttime tooth grinding.

• Difficulty Chewing, Biting, or Speaking - If your child is displaying difficulty speaking or eating, or if he or she often experiences cheek biting, schedule an orthodontic consultation.

• Asymmetry - If your child's face is asymmetrical, or if his or her teeth do not meet together in a natural way, orthodontic treatment may be necessary.

Evaluation and Preventive Care

Even if your child has no visible tooth or jaw alignment problems, the American Association of Orthodontists recommends that every child visit the orthodontist for an initial examination no later than age seven. The reason for early evaluation is because orthodontists are capable of finding subtle problems with the jaw and teeth growth and spacing before they become more pronounced and also more difficult to treat. By bringing your child in for an evaluation, you may be able to treat orthodontic conditions with shorter and more simplified treatments that are also more affordable than treatment during the teenage and adult years.

What questions should I ask during my orthodontic consultation?

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straighten your teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and prepare you to do your part for your own dental health. Be sure to bring a list of your questions!

How long does orthodontic treatment take?

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

  *  Heredity
  *  Thumb-sucking
  *  Premature tooth loss
  *  Accidents

Benefits of orthodontic treatment:
Appearance - Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay - It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues - An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:
Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time


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Preventing Decay While Wearing Braces

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.

As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

When Should I Schedule an Orthodontic Evaluation for My Child?

Most parents know that routine dental care should begin during the toddler years. But many are unaware of when orthodontic treatment should begin. According to the American Association of Orthodontists, the ideal age for an orthodontic evaluation is age seven or before, when children usually have a mixture of adult and baby teeth. Although treatment usually will not begin until one to five years after the initial evaluation, the evaluation is helpful in determining whether your child has any problems with emerging teeth -- regardless of how subtle.

Children have more formidable bone structures than teenagers and adults, and as they grow, orthodontic appliances can help guide jaw growth, which may prevent the development of an overbite or under-bite, as well as tooth crowding due to space limitations. Orthodontic treatment is also helpful for guiding newly emerging adult teeth into a proper alignment, which is not only aesthetically advantageous, but also helpful in preventing tooth decay.

Why Early Evaluation?
Taking your child to the orthodontist for an evaluation means that you may be able to identify problems with the jaw and teeth early when they are still easy to treat. Early treatment often equals a more simplified treatment plan, which is beneficial to both children and their parents. Often, earlier treatment can cost less to correct a problem than delayed treatment. If a problem is detected, our team will discuss corrective options and provide a recommended treatment schedule. Depending on your child's orthodontic needs, he or she may benefit from:

* Palatial Spacers - Helpful for correcting a crossbite by expanding the width of the upper jaw.
* Fixed Functional Appliance - Helpful for correcting severe upper tooth protrusion.
* Headgear - Helpful for guiding healthy growth of new teeth and the jaw. Headgear is removable, but usually must be worn at least 10 hours per day.

If your child is approaching the age of seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination.